Department of Neurology, Taipei City Hospital, Taipei, Taiwan; National Yang-Ming University, Taipei, Taiwan.
Kaohsiung J Med Sci. 2013 Oct;29(10):578-81. doi: 10.1016/j.kjms.2013.03.002. Epub 2013 Jun 7.
Sudden death in a stable medullary infarction case frequently induces legal problems. Currently, the etiology of the most reported cases are not known because autopsy is rare. Here, we report one female patient with medullary infarction who experienced a sudden cardiopulmonary arrest during a brain magnetic resonance imaging (MRI) study. The blood flow changes on the MRI indicated that her death resulted from the sudden collapse of systemic circulation. Dysautonomia, or sudden respiratory arrest resulting from brainstem dysfunction, was suspected. In this report, we present her cranial MRI findings and discuss the possible pathophysiology after reviewing the relevant literature. We also recommend certain tests for patients with medullary infarction to prevent the risk of sudden unexpected deaths.
稳定型脑桥梗死患者中常发生猝死，这会引发法律问题。目前，大多数报道的病例病因不详，因为很少进行尸检。在此，我们报告一例女性脑桥梗死患者，该患者在进行脑磁共振成像（MRI）检查时突发心肺骤停。MRI 上的血流变化表明她的死亡是由于全身循环突然崩溃所致。考虑为自主神经功能障碍，或因脑干功能障碍导致的突发性呼吸停止。在本报告中，我们呈现了她的头颅 MRI 发现，并通过复习相关文献讨论了可能的病理生理学。我们还建议对脑桥梗死患者进行某些检查，以预防猝死风险。
